Exogenous factors influencing the course of bronchial asthma

This systematic literature review analyzes the environmental factors that affect the course of bronchial asthma. Based on 46 studies, a number of factors have been identified whose impact has been reliably confirmed, including sudden changes in daytime temperatures, vitamin D levels, micronutrient status, persistence of herpes-like viruses, and the specific sensitization spectrum of a particular region. A comprehensive approach to the diagnosis, prevention, and treatment of bronchial asthma, taking these factors into account, will allow for personalized treatment of individual patients and improve its effectiveness.